Provider Demographics
NPI:1063481885
Name:SENECA HOME HEALTH LLC
Entity Type:Organization
Organization Name:SENECA HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HUBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-723-1155
Mailing Address - Street 1:307 MAIN AVENUE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365
Mailing Address - Country:US
Mailing Address - Phone:814-723-1155
Mailing Address - Fax:814-723-7744
Practice Address - Street 1:307 MAIN AVE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-2156
Practice Address - Country:US
Practice Address - Phone:814-723-1155
Practice Address - Fax:814-723-7744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3000007565332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1601245OtherHIGHMARK B/C B/S
PA1008679730001Medicaid
PA163190OtherUNISON
PA1601245OtherHIGHMARK B/C B/S
PA1008679730001Medicaid